Sexual function in women with complex PTSD: a comparative study
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By
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Rodrigo Ramirez-Rodriguez
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Ángel Alberto Puig-Lagunes
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Rafael Fernández-Demeneghi
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Ana Karina Ceja-Venegas
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Yuliana Yessy Gomez-Rutti
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Miriam Tecamachaltzi-Silvarán
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Isidro Vargas-Moreno
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Alma Gabriela Martínez-Moreno
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León Germán-Ponciano
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Gilberto Uriel Rosas-Sanchez
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June 12, 2026
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Clinical Scorecard: Sexual Functionality Among Women Diagnosed with Complex PTSD: A Comparative Analysis
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | Impaired sexual functioning associated with trauma exposure and symptom severity. |
| Target Population | |
| Care Setting | |
Key Highlights
- Women with CPTSD reported lower overall sexual function than trauma-exposed controls.
- CPTSD severity negatively predicted sexual function independent of PTSD severity and age.
- The pain domain showed significant differences, with higher sexual pain reported in CPTSD group.
- Age was a significant predictor of sexual pain, while CPTSD severity was not after adjustment.
Guideline-Based Recommendations
Diagnosis
- Utilize the International Trauma Questionnaire (ITQ) for assessing CPTSD.
Management
- Consider the impact of CPTSD on sexual health in therapeutic settings.
Monitoring & Follow-up
- Regularly assess sexual function in women with CPTSD.
Risks
- Increased risk of sexual dysfunctions linked to CPTSD.
Patient & Prescribing Data
Addressing sexual health may be crucial in the management of CPTSD.
Clinical Best Practices
- Incorporate sexual health assessments in routine evaluations for women with PTSD/CPTSD.
- Provide culturally sensitive care considering traditional gender norms and socioeconomic factors.
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